Richard S Miles Psc | |
124 Dowell Rd Russell Spgs KY 42642 | |
(270) 866-2440 | |
(270) 866-2442 |
Full Name | Richard S Miles Psc |
---|---|
Speciality | Family Medicine |
Location | 124 Dowell Rd, Russell Spgs, Kentucky |
Authorized Official Name and Position | Richard S Miles (PRESIDENT OWNER MD) |
Authorized Official Contact | 2708662440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard S Miles Psc 124 Dowell Rd Russell Spgs KY 42642 Ph: (270) 866-2440 | Richard S Miles Psc 124 Dowell Rd Russell Spgs KY 42642 Ph: (270) 866-2440 |
NPI Number | 1619152337 |
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Provider Enumeration Date | 12/31/2007 |
Last Update Date | 12/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619152337 | NPI | - | NPPES |
000000047852 | Other | ANTHEM BCBS | |
64197007 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19700 (Kentucky) | Primary |